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Challenges to the Standardization of Trauma Data Collection in Burn, Traumatic Brain Injury, Spinal Cord Injury, and Other Trauma Populations: A Call for Common Data Elements for Acute and Longitudinal Trauma Databases

Published:October 26, 2018DOI:https://doi.org/10.1016/j.apmr.2018.10.004

      Abstract

      Objective

      Common data elements (CDEs) promote data sharing, standardization, and uniform data collection, which facilitate meta-analyses and comparisons of studies. Currently, there is no set of CDEs for all trauma populations, but their creation would allow researchers to leverage existing databases to maximize research on trauma outcomes. The purpose of this study is to assess the extent of common data collection among 5 trauma databases.

      Design

      The data dictionaries of 5 trauma databases were examined to determine the extent of common data collection. Databases included 2 acute care databases (American Burn Association’s National Burn Data Standard and American College of Surgeons’ National Trauma Data Standard) and 3 longitudinal trauma databases (Burn, Traumatic Brain Injury, Spinal Cord Injury Model System National Databases). Data elements and data values were compared across the databases. Quantitative and qualitative variations in the data were identified to highlight meaningful differences between datasets.

      Setting

      N/A.

      Participants

      N/A.

      Interventions

      N/A.

      Main Outcome Measures

      N/A.

      Results

      Of the 30 data elements examined, 14 (47%) were present in all 5 databases. Another 9 (30%) elements were present in 4 of the 5 databases. The number of elements present in each database ranged from 23 (77%) to 26 (86%). There were inconsistencies in the data values across the databases. Twelve of the 14 data elements present in all 5 databases exhibited differences in data values.

      Conclusions

      This study demonstrates inconsistencies in the documentation of data elements in 5 common trauma databases. These discrepancies are a barrier to database harmonization and to maximizing the use of these databases through linking, pooling, and comparing data. A collaborative effort is required to develop a standardized set of elements for trauma research.

      Keywords

      List of abbreviations:

      BMS (Burn Model System), CDE (common data element), NBDS (National Burn Data Standard), NIDILRR (National Institute on Disability, Independent Living, and Rehabilitation Research), NINDS (National Institute of Neurological Disorders and Stroke), NTDS (National Trauma Data Standard), PRO (patient-reported outcome), SCI (spinal cord injury), SCIMS (Spinal Cord Injury Model System), TBI (traumatic brain injury), TBIMS (Traumatic Brain Injury Model System)
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